…pre-registration requirements for HHC admission. + Maintains comprehensive working knowledge of managed care along with community resources. + Completes and

…budget for associate health services * Acts as a liaison with benefit plans, health care providers, and managed care organizations and works in collaboration

…+ Knowledge of health care issues, trends, legal compliance and managed care with emphasis in all components and nursing operations. Preferred/Desired

…abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced

…and gynecological care . Both low risk and high-risk pregnancies are managed as outlined within practice guidelines. Develops and supports excellence in the

…or social work. **Required Experience** + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Knowledge of

…in Nursing. Valid Ohio RN licensure. Three to Five years of case management or managed care experience. Ability to work independently and as a member of a

…services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and

…in care management, utilization management, behavioral health, medical, and/or managed care setting, or equivalent combination of relevant education and

…hair care , feeding, toileting, and transfers/lifts. Under direction of Nurse , provides health related services as needed such as; passing medication, glucose